Tanis Bast

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016023261 Issued in MO

Practice address

1935 Prairie Dell Rd Ste 500
Union, MO 63084-4329

Phone

(636) 649-3080

Fax

(636) 649-3081

NPI assigned

Feb 4, 2016

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Missouri, Columbia School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbast77070@directc.mercy.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic East Communities

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1043574940
  Medicare reassignment Care Compare group NPD
• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Cuba, MO
  • NPI 1285998724
  NPD
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1295193274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "636-649-3080",
            "fax_number": "636-649-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 PRAIRIE DELL RD STE 500",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630844329",
            "telephone_number": "636-649-3080",
            "fax_number": "636-649-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Theresa St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "MO",
            "postal_code": "654531636",
            "country_code": "US",
            "telephone_number": "573-677-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAST",
        "first_name": "TANIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axes Physical Therapy, LLC (Axes Physical Therapy)
• Sneha Bagavandoss, OD
• Sarah Lindsay Ballenger, LMSW
• Julie M Ballmann, PHARMD
• Julianne K Baltimore, PLPC
• Stephanie Diane Bauerle, D.O.
• Mary E Beasley, FNP
• Bel Oak of Union LLC (Union Care Center)
• Hakema Berger, MSW, LMSW
• George Howard Bergevin, D.C.

• Family Nurse Practitioner in Union, MO
• Providers in Union, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.